Loading...
HomeMy WebLinkAbout10 Pond Lane 1 TO THE BUILDING INSPECTOR CIE 16 APPLICATION FOR TOWN CW SOUM WUMSAM COSH. PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT— Applicant to complete all items in sections: 1, It, Ill, IV, and IX. ZONING I• AT (LOCATION) L " DISTRICT. LOCATION (NO.) (STREET) OF BETWEEN AND (CROSS STREET) (CROSS STREET) BUILDING LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking"most recent use -I 1 ❑ Now building Resident Nonresidential 2❑ Addition(It residential, enter number 12 One family is❑ Amusement,recreati nal o/new bousing units added, i/any. 13❑ Two or more family - Enter 19❑ Church,other religious in Part D. 13) raanbor Of snits-----r► 20❑ Industrial 3❑ Alteration (See 2 above) 14 Transient hotel,motel 4�Ropoi►,r placement ❑ or dormitory - Enter nrarrber 21 Parking garage 5❑ W► citing(1/multifamily residential, o/units ------- --►—� 22❑ ServiceHospital, institutional station, repair gerag enter number o/units in building in 15❑ Garage 23❑ Hosit Part D, 13) 16 5=rt 24❑ Office,bank,professional 6❑ Moving (relocation) 25❑ Public utility oundation on 7 Fly 1T -Specify ❑ �'+ ] 26❑ School, library,other educational B. OWNE IP I" r - Irate` 27❑ Stores,morconfile 8 Private(individual, [D Tanks, towers (individuei,corporation, I�Y1 — (1e�IGe� I D� CD Other - Specify - nonprofit Institution,etc.) 9 ❑ Public(Federal,State,or �.. local government) C. COST (Omrit cents) Nonresidential - Descrrb*in detail proposed use of buildings,e.g..food processing plant,machine shop, laundry building at hospital,elementary 10. Cost f improvement............... school, secondary school, college, parochial school, parking 9orage f r, deportment store,rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed,enter proposed use. in the above cost a.Eloetrfeel...................... - b. Plumbing...................... r e.Meeting,air conditioning......... d.Other(elevator,etc.)............. 11. TOTAL COST OF IMPROVEMENT III. SELECTED CHARACTERISTICS OF BUILDING —For new buildings and additions, complete Parts E*— L; • for wrecking, complete only Part J, for all others skip to IV. - _ _ r E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑ sonry(wall bearing) 40❑ Public or private company 40. Number of stories................ 31 Wood frame 4t ❑ Private(septic tank,etc.) 49' Total square foot of floor area, ell floors,based on exterior 32❑Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42❑ Public or private company 50. Total land area, sq.h............ 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 31. Enclosed....................... F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35❑ Gas Will there be control air 32. Outdoors........................ conditioning? 3B Oil L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑Y a 45 53. Number of bedrooms............... -� 38❑ Coal - - 39❑Other-specify Will there be at elevator? Fall.......... 34. Number of 46❑Y 47❑N bathrooms Pertiel........ IV. IDENTIFICATION — T 6e compl t d by all applicants Nam Meiling address — Number, street, city, and State ZIP code Tel. N �. 2aj J"' r G Owner or Lessee plv�r e S-We r '�` ?� a B A 2. s v1acIr, r�,t'd Contractor 3. Architect r Engine r Th wn r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatur ppl' ant Address _ Applicati date eo rno 4,t) 4/1,% f C/ &(C'Z) 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started A pproved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit r Approval I Check Date Number B Permit or Approval Chec Dote Number By pp Obtained y pProva Obtained BOILER PLU KING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER r - II. VALIDATION Building Permit numb r Building 19 P rmit issued �. Building JG` P rmit Fe $ - - Prov by: TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug- 12 , 1986 Fee Paid $. . 10 8 .0 0 Fat. Value $.18.1.0 0 0 Permit N° 15 3 3 6 on the aide of Pond Lane Streft i Street No. 1 Owner A- R a=n Applicant ArnA WOr bam-d CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Repairs BUILDING PERMIT M 15336 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Any. 12 19116 94is is to Crrtifj, That suburban Services is hereby granted permission to Repair house after being struck by car. at estimated value of on the side of lA Pond Lane Street on land owned by A. Ra- mo Said Mork to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Ange 12 1936. Building­Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, t wn or borough all costs and damages which it shall sustain, or be compelled to reason therefor." ELECTRICAL A"LICATIOR / Application No. &Lf _ on the side of P �- Street Street No. Owner . Electrician FILED IN OFFICE OF The Building Inspector INSPECTION. ct No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire ,tops (if of wood) are installed, without a special permit from the office of the Building Inspector. rr Iry APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. Permit No. ...�. .... `..,.�...... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ................. hereby make application tq perform Electr cal Work according to detailed description w. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be mplied th whether specified herein or n t. South Windsor Conn., 19...... Sin here • d Address g. ..... ..+..��..i.�........ ........... iQ:r/.k... ...� C Location ()........ Side of...t/i�. .... .�..... �.. ............................................................ ..... .. ......... ... Nature of Building .e It c.. ................. How many stories N w or old Building .... .... ........ . How many families ..................................................................................._........... Kind of Installation ................................................................................. .. . How many Stores .......................... Owner Li.nl.a...............�.. .....ve...I..e...1__.............. Address ...1.0..........Cio..qj................. �.�.f�..�..._......_..__.... Architect ....................................................... .. ... .... ............ ... ......... ..... Address ........................................................................................ Builder ......... ...... ......I-'............ Address ....................... ..... ...._.............. Electrician ...f...........�.GL..11. . ..�!�Gl'. . .[......,A FC) d;ess .. n ........ 1kA Size of Main Wires .. ....Z.......................... No. of Light Loops ........................ ............ No. of Heat Loops ........... ... No. of Power Loops No. of Light Outlets ................. .. ......... No. of Heat Outlets .... No. of Power Outlets ................................... NoO of Light Circuits ............... .......... .... No. of Heat Circuits ... .. . . ... . ....... No. of Power Circuits ......................... ....... No. of Sockets .............. ........... ....... ....... No. of Heat Receptacles .. No. of Motors ..................................................... No. of Panels .......................... ...................... .. Size of Heat Circuit . ........... No. of Power Receptacles ....................... No. of Switches ........... .................. . ..... ..... Total Wattage .................. ......... .................... Size of Power Circuit ............... .......... Total Horsepower ............................ ....... Np. of Straight Electric Fixtures ........ ... ... ............................... No. of Combination Fixtures ............. .... ........ ....... ... ............. No. of Receptacles ........... No. of Cord Drops ...................... ....................................5", ........................ ......... ......... ..................... . Remarks: For other kind of Installation ...... ... . ...... ..... ........... .. ....... .. ........................... f�� Y ro.. �..d, .. Q.�...r..... ... . �......... l�C ............................ e. tc...,f... .. .. ................ ........ .. I .. ........................................................................................................... ............................. ................_............................................................................................................................................ ............... ......................................................................................... ...... ... ...................................................................................... ..................................... ............. .................................................... Estimated Cost ....T. J""-Q...... ......... Fd OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: (NO. ) TOWN OF SOUTH WINDSOR EST.C ST: BLDC. PERMIT NO. 15,40 SULLIVAN AVENUE FEE3d• SOUTH WINDSOR, CT 06074 FEES 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF BUILDING thereof - $10.00 r ,�4At- & ag jq,/ V //v ORNER ADDRES TOWN PHONE NO. A. AC CONTRACT ADIYRESS WN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION _ BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GP�/,�r GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY_ LPG TANK - CAPACITY EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTS °F INSIDE Q OF IFDIF FERENCE�_°F TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE L HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): '0� 23 /50,41 GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) pd IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE °F DIFFERENCE OF TOTAL HEAT GAIN (BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE b MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT): TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) (PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and Stat Co n. Building Codes in the rfo nce of such work. FURTHER DESCRIPTION OF WORK: v A- STATE LICENSE - NAME & TYPE # DATE ATURE OF APPLICANT j lec -?/,L lIq(, APPROVED DATE I - B - A CALCULATION SHEET 1503 (Modern Method) Copyright 1971 by The Hydr nks Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE __-- COL.A COLS COL.C COL.D COL.t COL.F COL.G 1 ROOM p H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT. f' - U BTUH per F t of 3 LENGTH EXPOSED WALLS.FT. < Radiation Selected d WINDOW AND OUTSIDE DOOR AREA IL STUN BTUH STUN STUN STUN 5 WALL CONSTRUCTION (Table 9, Line 3 x H) ROOM LIN.FT.OF TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED 18 ttom of table used I r Lino 51 7 CEILING CONSTRUCTION (Table 9,L x W) C g FLOOR CONSTRUCTIONt -- p- (Table 9,L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) F 10 c 1 Wall With Openings) O G c we 2 Wells(With Openings) a X H _� J f 3 Welts IWtth Openings)or Ent.Hall he• 11 TOTAL UTUH AT 7OF TEMP DIFFERENCE' J 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K L COL.A _ COLS COL.H COL.1 COL.J COL. K COL.L ---' ------ TOTAL BTUH TOTAL 1 ROOM - OF BUILDING RADIATION cc OF SELECTED O H L W N L W H LM H L W H L WDESIGN TEMP.• 2 ROOM DIMENSIONS, FT F' DIFFERENCE U _ 3 LENGTH EXPOSED WALLS. FT ` - 4 WINDOW AND OUTSIDE DOOR AREA IL 5 WALL CONSTRUCTION BTUH STUN BTUH BTUH BTUH ITeDIe 9, Llne 3 x NI •INCREASE BATHROOM 6 TYPE OF GLASS TOTAL 20% -- --- -- _-'- - ---- - Ieottorn I table used for Line 51 7 CEILING CONSTRUCTION - - - tFOR CONCRETE FLOOR ON (Table 9. L x W) GROUND OR FILL AT 6 FLOOR CONSTRUCTIONt GRADE LEVEL,USE LINEAR -' FEET OF EXPOSED EDGE (Table 9.LxW rLin Ftl 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) 10 c I Well(With Openings) C 2 Wells(With Openings) •X -------- --- -- - - ---------- - - • J 3 Wells(With Openings) or Ent Hell e - -- --- -- ---- - -- - 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL 8TUH AT DESIGN TEMP DIFFERENCE ---` -_-- This l0rm Is available from The Hydronlce Institute 35 Russo Place,Berkeley Heights,N J 07922 FORM 1503 w R[GHT—J SHORT FOR� 3-19-96 b #: Htg Clg For : Outside db 17 91 Irside db 7C� 75 Design TD 53 16 Daily Range — M Inside Plumid. — 50 By� Grains Water — 36 Const . Q,'slity a # of Fireplaces � HEAT IN6 EQU [PME�T L ING EEDUIPMENT ��ke Ma�e Model Model Type Type E-1ficien,y 0. 0 COP/EER/SEER 0. 0 Hea+ ing Input Btuh 5ensib1.e Cooling « Btuh H ing Ou+put 0 Btu1' Latent Cooling 0 Btuh Heating in Rise 0 Deg F Total C ing 0 Deg F Actual Heating Fan 1060 CFM Actual Cooling Fan 1060 CFM Htg Air Flow Fuctor 0. 031 CFM/Btuh Clg Air Flow Fact 053 [ FM/Btuh Space Thermostat Load Sensible Heat Ratio 91 `.�==`=='`,, ROOM NAME Id,TG 'RTUH ' B"IF UH | CFM =�=====24==0-==�=07=7====M`=================Lu===`==='A================= 5 BED2' 110 } 3255 | 2130 | 1�2 | 11w BAT 1888 } 1105 ; 59 | 59 13E1)3 2501 136 | 134 KIT | 208 | 7271 | 4671 ' 228 | 250 LIV 208 | G632 | 6156 | 2 9 BA5 ' 252 | 4265 � 1=n=170=00 Z= To 70 to =4=Z=0 1=07 SAO r= =00 100 SO IS:AN 0:ws:W mz =2 As: 00:A:s-Ol:ss ss.:r_: sO: ss:N: s'.7���� �ntire Hou�e < 1135 1060 Ventil ian Ai 0 | C. � | Latent Cooling | | | 1856 | ( �%:T=ZO!'71=n TO 0T.011,*.:�.:::::=::.",::::::::,:.,.::2:0"A T=To TO -0 T=to W==Ax 7- X:x A=n= %WO =1 A= TZ ML=Z AN =0 ON =1=Z =1� TOTALS | 1135 1 33822 ' 21683 1 1C,60 | 1060 ` MANUAL J: 7th Ed. RIGHT—J: Y1 . 63 I /7� �� � °✓`� �� Dectr� APPLICATION FOR BOIL ; 10 POND LANE DING PERMIT Plumbing# t O 4 P HVAC # 6 26153 Date: Z °� Sprinkler# �• FINAL APPRO A 1.30-0 Estimated Cost Budding 9 .! COMPLETE RED BOXED AREAS Permit Fee $ -- � Affidavit Occupancy Engineering COMPLETE OR PRINT ONLY Fee � Appr.for CO. p SIGN ON REVERSE SIDE Total Fee $ 34.5 TO BUILDW DEPARTMENT,TOWN OF SOUTH WmDSm CT G4dditional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location /O fR 2.0 J /.-A ,je Lot No. Side of Street Zone Applicant Tel i�_y --/ $C) Address 2Mft- Zip G Lic.# OoS 6 2 5*6 r7 Owner /-��Kj 0 t} t-0 u a v Cv i / Address 10 ; Architect Address Sq.Ft.N w Area: 1st FI. 6 2nd FL IM 3rd FL Total New Area �6'IV #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit:_ ? Ju� �/� �tom?71�_Aj -k7 Ci 1 City Water Well ❑go Septic System ❑ Sewer 20' Ins. H.O. S.P. Cert._ Area Basement Garage Approved by Date 2 Zjjj Use Group Construction Type .5 fz-> R•vs.d 1/97 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in ch s bwl i g s use is allowed Signed I hereby apply for a Certificate ccu the 7 d=in ication for the permit Signed D OT WRIT LOW THIS LINE INSPECTION COMMENTS D03 - A 7 iG °3 7 /�• g "f,CI 7 7 9°� Nee 2f7 U �k 0 - 4't •i C I Inspection / Approval Date By Appl Code Description Due Whom Code Commei,t ------------------------------------------------------------------------------- 99-26153-B 30,000 B03 FRAMING (ROUGH) 07/01/99 DCJ A TOP RISER ON STAIRS TOO SHORT E03 ROUGH 07/01/99 DCJ A P03 ROUGH 07/01/99 DCJ A E03 ROUGH 07/16/99 DCJ A P03 ROUGH 07/16/99 DCJ A H03 ROUGH 07/16/99 DCJ A B04 INSULATION 07/27/99 DCJ A B09 OTHER 12/01/99 JFF D NO ACCESS DOOR TAG CALLED CONTRACTOR VOICE MA MAIL NEED HVAC PERMIT CHECK STATUS B10 FINAL 12/09/99 JFF D NOTIFIED OWNER NO INSPECTION UNTIL HVAC PERMI RECEIVED B10 FINAL 08/25/00 DCJ D TOP RISER ON STAIRS TOO SHORT, OPEN LAMP IN CLOTHES CLOSET. CLOSE PERMIT(COURT CASE) B10 FINAL 01/30/01 CJD A W/OWNER WILLADJUST AND RETURN STAIR RAILING T TO PROPER HEIGHT B10 FINAL 01/30/01 CJD A CLOSED OUT. 99-16351-E 950 99-10425-P 3,000 South Windsor, Ct. 06074 January 14, 2000 John Tierinni 20 Willard Street Manchester, Ct. 06040 John: These items are still outstanding for a satisfactory completion of the addition to my home: No heat in the first floor bedrooms Siding has torn off the back of the house Doorbell was not reconnected after it had been disconnected A crack has developed in the stairway wall HVAC permit was not obtained In addition, I need all the receipts and warranties associated with the addition such as, but not limited to, the fixtures, siding, roofing, and the air conditioner. I expect all of the issues listed above to be addressed to my satisfaction by February 2, 2000. Sincerely, 40�L4-L Linda Longueuil cc. John Collins South Windsor Building Department DEPARTMENT DECISION APPLICATION FOR'ELECTRICAL PERMIT PERMIT# 16351 Application is hereby: TOWN of SOUTH WI DSOR BUILDING DEPARTMENT Bid ermit# APPRO 1540 SULLIVAN AVENUE6 SAS . 644-2511 ext.230 ofloco Date ding r Application must be p rimed or typed Location of job lie Street No. Street Lot No. FEE SCHEDULE . $O - $1,000 - $12.00 Floor Apt.No. Over $1,000 $12.00 per$1,000 ovvNER bv4gi or any fraction thereof ADDRESS 1 D Pond Lo-ri e J-P, 14)1 nd C4 OWNERS PHONE# APPLICANT f` W N S'k ADDRESS O r4 ..�f y::: .,,.�'. ESTIlVIATED COSTS IS THIS A CONTRACT COST? c� YES NO �► FEE ENCLOSED II .0,0 Rec TYPE OF JOB: Original Installation _�Alteration/Addition/Repair Revised 11/95 n APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED 3YITH A RESIDENTIAL BUILDING PERMIT APPLICATION S / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY PHONE STORAGE ENGINEER'S NAME GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD A SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK f l� tip inn) THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. 1 DATE This is to certify that under the provisions of the General Statutes the following person or firm is licensed or registered. ELECTRICAL UNLTD CONTRACTOR-El ROBB F GOEHRING 19 BOLTON CTR RD BOLTON CT 06043 LIC./REG. NO. EFFECTIVE EXPIRES 00181964 10/01/98 9/30/99 SIGNED: DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PEA p Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT B1d Permit#� P 1540 SULLIVAN AVENUE c0 v c� � �-r� 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job PC5�,J E) Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER L I,,J le,A- or any fraction thereof / ADDRESS PC-- OWNERS PHONE# 6 �l q • S S S APPLICANT e9l (O OW p g� ADDRESS Van yYt, LT- oko(,L ESTIMATED COST$ 3OU� C = IS THIS A CONTRACT COST? YES NO a FEE ENCLOSED $ 1 } ��...., .' OR-CO' TYPE OF JOB: s Original Installation ,.--Alteration/Addition/Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED TH A BUILDING PERMIT APPLICATION / NO ✓RESIDENTIAL BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY de MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY 50v—'e- INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION a SIZE OF MAIN DRAIN NO. OF TOILETS / STYLE <<4r NO.OF URINALS O' STYLE �- NO. OF BATHTUBS 1_ NO. OF SHOWERS t NO.OF LAVATORIES NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO. OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW /NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION OF WORK aid f-,g,,If Lo A THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 47- P-- ( d o -t 7 q-g S NAME STATE LICENSE NO. TYPE SIGNATURE O PLICANT PHONE NO. -970--PI I DATE 7-11 ' DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# � Application is hereby: TOWN OF SOUTH WINDSOR /6 9 G 3 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE /d 204d `�.�A $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= i $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. i APPLICANTZ�( , - APPLICANT ADDRESS APPLICANT PHONE# r OWN SF OWNER ' q� OWNER ADDRESS J0 po" j) 3_fF f OWNER PHONE C ESTIMATED COST$ /, 2 S'O NWA *% IS THIS A CONTRACT COST? D Yes O No �CJ FEE ENCLOSED$ TYPE OF JOB: sOR-CO 0 New Installation 0A"Iteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF B LDING: af4EATING ASIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ((HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE © OF INSIDE OF DIFFERENCE�(ir) °F TOTAL HEAT LOSS(BTUH) ' �O&F(HEAT LOSS S EET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL ❑ OIL—GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY ❑GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF - DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MADE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(QFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. � ;!!!f - T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE r G y �i � �1�► l� � � avYiPYYl1Y� YY �1f� YY �1 �lYY � � � � i� �$ �1 � � �1 � F� �i1 �1i� �11� � = B= R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institut OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE&4 F. DATE- 5-1 —�a COL.A COL.B CCIL.C COL.D COL.E COL.F COL.G 1 ROOM Q TYj I'r) � (1 O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS,FT. ~ V LBTUH per Foot of*1) 3 LENGTH EXPOSED WALLS,FT. 4 � Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN.FT.OF (Table 9.Line 3 x H) V r� c�V v TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (Bottom of table used for Line 5) X I �� / 7 CEILING CONSTRUCTION ,t C <9 (Table 9,L x W) U2- R u V VV V0 4-51 � B FLOOR CONSTRUCTIONt D (Table 9,L x W or Lin.Ft) E 9 COLD PARTITION CONSTRUCTION F (Tabl 9,L x H) G 10 0 1 Wall(With Openings) C; 2; H `c- 2 Walls(With Openings) X 3 Walls(With Openings)or Ent Hall H1 © 1 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE• J 121 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE K L COL.A COL.0 COL.H COL.1 COL.J COL.K COL.L TOTALBTUH TOTAL 1 ROOM OF BUILDING RADIATION Q AT SELECTED O H L I W H L W H L W H L W H L W DESIGN TEMP.° 2 ROOM DIMENSIONS,FT. I"' DIFFERENCE V 3 LENGTH EXPOSED WALLS,FT. 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9.Line 3 x HI TOTAL 20% 6 TYPE OF GLASS (Bottom of table used for Line 5) X1 �i 7 CEILING CONSTRUCTION t GROUND OR FILL AT OR CONCRETE FLOOR ON '(Tabl 9,L x W) G GRADE LEVEL,USE LINEAR 8 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE (Tab) 9,L x W or Lin.Ft) 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) \` 10 _c 1 Wall(With Openings) �+ 2 Walls(With Openings) zX i ~ 3 Walls(With Op nings)or Ent Hall F.J 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE* 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE • FORM 1503 This form Is available from The Hydronias Institute.35 Russo Place.Berkeley Heights.N.J.07922